Transcript Highlights:

• equity and quality of care.
• They looked at data from 51 private equity-acquired hospitals and compared them to non-private-equity-acquired
• The private equity was Steward.
• We see private equity in the medical industry. We see private equity in the utility industry.
• We see private equity all over the place, right?

Bills: HB99, HB49, HB164, SB30, SB43, SB50, SB136

Keywords: medical malpractice, malpractice reform, patient's compensation fund, PCF, health care liability, tort reform, damage caps, punitive damages, hospital liability, physician liability, nurse practitioner, certified nurse-midwife, outpatient facility, ambulatory surgical center, urgent care, free-standing emergency room, insurance surcharge, superintendent of insurance, New Mexico hospitals, medical review process

Summary: The committee first took up House Bill 99, which would make changes to the Medical Malpractice Act, especially around punitive damages. The chair and sponsor said the bill would not be voted on that day and that public comment would wait until Monday, when a fuller presentation and any recommended substitute would be considered. Dr. Brooke Baker, a physician-lawyer, gave a long presentation on physician wellness, malpractice stress, and the effect of litigation on staffing and burnout, while also discussing hospital ownership structures, private equity, and rural hospital vulnerability. She argued that punitive damages are often pled too broadly in New Mexico, that the amendment language was unclear about which entities would be capped, and that better oversight and internal quality systems—not punitive damages—are the better tools for addressing bad actors and unsafe care. Committee members from both sides asked extensive questions about the patient compensation fund, indemnification, corporate structures, the effect of caps on insurance and recruitment, and whether the bill would protect physicians’ personal assets. No vote was taken on HB 99, and the committee recessed before moving to the next bill. The committee then returned to House Bill 49, a public safety measure increasing penalties for felons who possess firearms. The sponsors and law enforcement witnesses said the bill is aimed narrowly at serious violent felons who are already prohibited from having guns, and that it would align state sentencing with federal law and give police and prosecutors a stronger tool against repeat violent offenders. An amendment was offered to narrow the bill further, add destructive devices, and make the offense a second-degree felony rather than escalating to first degree on repeat offenses. The amendment was adopted without opposition. Public testimony on HB 49 was largely opposed. The Law Office of the Public Defender argued the bill criminalizes possession without a new act of violence, that current law already punishes felon-in-possession conduct, and that New Mexico has repeatedly increased penalties without evidence of reduced gun crime. The ACLU of New Mexico also opposed the bill, saying increased penalties are not a proven deterrent. The transcript cuts off as additional online opposition testimony was beginning.

Transcript Highlights:

• Thank you to committee members, Vice Chair, for joining us, and those staff members who are watching
• Good morning, Chair Solache, Vice Chair Castillo, members of the committee, and staff.
• With that specific investment, SBDC clients secured over $652 million in loans and equity investments
• And then venture capital equity is also a great way to get some smart capital.
• I mean, you see the impact of the billions of dollars of equity.

Keywords: 988, house, all

Transcript Highlights:

• systems of care, relevant state agency staff, as well as staff from public housing authorities.
• systems of care, relevant state agency staff, as well as staff from public housing authorities.
• Madam Chair, members of the committee, Allison Mandiola, committee staff.
• And my question is for staff.
• Madam Chair, members of the committee, Allison Mandela, committee staff.

Bills: SB5911, SB5940, SB5942, SB5957

Keywords: children, youth, financial stability, care services, department of children and families, housing assistance, foster care, pilot program, social services, accountability, family services, state department, child welfare, homeless youth, youth homelessness, runaway youth, young adult homelessness, housing instability, family reunification, family stability

Transcript Highlights:

• These efforts inform and advance policies related to health equity and affordability, and collecting
• CHIA's role is further expanded to include collecting and analyzing new information from private equity
• Send your constituents to us; make sure your staff have our email addresses.
• I know I do it every time you're here, but on behalf of all of the legislators and our staff who you
• Chairman, Chair Feeney, members of the committee and staff. Nice to see you all.

Keywords: 995, all

Summary: The committee held an informational opening hearing for the Financial Services Committee, with Chair Murphy and Senator Feeney introducing new and returning members and explaining that no bills were being heard that day beyond brief introductory testimony. Commissioner of Banks Mary Gallagher thanked the committee for last session’s money transmission modernization law, and several members echoed appreciation for her office’s work. The hearing then featured a long series of stakeholder introductions and overviews of their priorities for the session. Testimony covered a wide range of financial, insurance, housing, health care, and consumer issues. Banking and mortgage groups discussed housing affordability, foreclosure delinquencies, flood insurance, regulatory changes, and the impact of federal policy shifts. Insurance representatives raised concerns about auto and homeowners market pressures, labor rates, tariffs, rebates, e-titling, third-party litigation funding, and public adjuster restrictions. Consumer and advocacy groups highlighted debt collection reform, earned wage access, retirement savings access, public banking, and consumer protections in financial services. Several speakers also emphasized the need for committee expertise and offered themselves as resources for future bills. Health-related organizations focused on insurance mandates, prior authorization, behavioral health access, pharmacy benefit manager reform, community health center funding, maternal health and midwifery reimbursement, and anesthesia reimbursement parity. Other groups, including credit unions, retailers, auto dealers, dental and medical associations, and behavioral health providers, described their roles in the Commonwealth and previewed legislation or policy areas they expect to follow this session. No votes were taken; the meeting was informational and ended after testimony from the sign-up list and a few late additions.

Transcript Highlights:

• saying I appreciate the work that has been done by all of our authors and co-authors and sponsors, staff
• It also adds private equity and hedge funds when they take over doctors' offices and other health care
• Now, why should we know what's going on with private equity and health care?
• Because private equity acquisitions of health care providers in California totaled $4.3 Private equity
• Because this is a state that elects leaders that value diversity, equity, and inclusion in the state

Summary: The Assembly convened after a quorum call, prayer, and pledge, then moved through a long Daily File with several major policy bills and multiple commemorative resolutions. The most debated measure was AB 379 on human trafficking and child exploitation. The bill was presented as a stronger, more comprehensive version that increases penalties for adults soliciting minors, adds a loitering offense tied to purchasing commercial sex, raises fines for businesses that facilitate trafficking, creates a Survivor Support Fund, and establishes grants for victim services and vertical prosecution. Several members spoke in support, while Assemblymember Sharp-Collins raised concerns that the loitering provision could be vague and disproportionately enforced against Black, Brown, and LGBTQIA+ people. The bill passed after debate, with the clerk reporting 72 noes and the measure still passing. The Assembly also passed AB 1415, which expands the Office of Health Care Affordability’s authority to review more health systems, private equity and hedge fund acquisitions, and managed service organizations in order to better track cost drivers and medical debt. Other policy bills approved included AB 711 on coordinating court reporters for motion hearings, AB 1142 on horse event entry fees, AB 309 on preserving access to sterile syringes for HIV and hepatitis prevention, AB 358 on allowing victims to consent to searches of hidden surveillance devices like AirTags and spy cameras, AB 592 on outdoor dining for restaurants, AB 1341 on clarifying contractor licensing violations, AB 752 on easing child care center siting, AB 1166 on extending debt-settlement rules to commercial financing, AB 806 on mobile home resident cooling rights, AB 972 on explicit sex discrimination protections in higher education, AB 416 on emergency room 5150 authority, AB 632 on expedited collection of penalties for serious local code violations, AB 672 on PERB notification and intervention rights, AB 876 on CRNA scope of practice, and AB 760 on temporary mobile home housing after disasters. Most of these measures passed with broad bipartisan support, though AB 672 drew sharp opposition from Assemblymember DeMaio over concerns about PERB and state bureaucracy. The chamber also adopted several resolutions recognizing May observances and public service groups. These included ACR 63 designating May as California Fairgrounds Appreciation Month, ACR 69 for California Physical Fitness and Mental Well-Being Month, ACR 76 for California Small Business Month, ACR 77 for Drowning Awareness and Prevention Month, HR 36 for Lung Cancer Action Week, HR 39 for National Public Works Week, and HR 41 for National Hospital Week. Members used the resolutions to highlight local institutions, public health, and community services, and each was adopted after co-author rolls and voice votes. The session ended after the Assembly completed the day’s file and moved through a series of routine procedural motions and adjournment-related business.

Transcript Highlights:

• The third: strengthening social well-being, equity, and economic resilience.
• Educational engagement, behavioral health service continuity, and equity indicators.
• cases at roughly about 180 cases per staff.
• ...80 cases per staff. And so that's a moving target, right?
• I will defer to my staff after the meeting.

Summary: The committee heard a series of budget and oversight presentations from CalHHS-related departments and agencies. CalHHS opened with a broad overview of its 2026-27 budget and priorities, including behavioral health, housing and human services integration, children and youth services, and aging/disability supports. OICR then presented its budget and its SB 823 realignment report on youth formerly committed to DJJ, saying county implementation varies widely but that the state has not seen evidence of net widening in the available data. OICR recommended climate surveys, youth advisory councils, stronger behavioral health and education programming in secure youth treatment facilities, better transitional planning, and improved longitudinal data systems. The agency also described a Title II federal grant transition problem, saying it cannot yet pay some subrecipients for prior work and is awaiting federal action on retroactive spending authority and an administrative funding adjustment. The Ombudsperson division requested two additional positions to address a growing complaint workload and access issues with counties over youth meetings, records, and grievance files; LAO raised no policy objection but noted the ongoing General Fund cost. The State Council on Developmental Disabilities requested $730,000 General Fund ongoing to cover the gap between federal limits on administrative overhead and the actual cost of an interagency agreement with the Department of Social Services. EMSA presented its department overview and several proposals, including a delayed AB 716 ambulance rate report, a $2.6 million request to replace aging disaster-response vehicles, a $250,000 security architecture assessment, and four positions plus ongoing General Fund for HR, enforcement, and legal workload. Members questioned the delay in the AB 716 report, the optics and timing of the vehicle replacement request, and whether EMSA was doing enough to prevent future staffing and enforcement problems. LAO repeatedly noted the ongoing General Fund implications of EMSA’s requests. The Department of Community Services and Development sought reappropriation of unspent Greenhouse Gas Reduction Fund money for the Low-Income Weatherization Program and described a Proposition 4-funded continuation of the farmworker housing component, which would require a new statewide administrator and program design process. The Department of Rehabilitation requested authority to draw an additional $60 million in federal funds annually and add 54 positions to meet sharply increased Vocational Rehabilitation caseloads; LAO had no concerns. Child Support Services proposed restoring a prior reduction to local child support agency funding and reported higher federal performance incentives, while also presenting a supplemental report on full pass-through of child support collections to CalWORKs families, estimating about $150 million annually for full pass-through or about $80 million for a state/county-only approach, plus automation costs. Members questioned why funding should rise when caseloads are declining, and whether the policy could be made cost-neutral. CDPH closed the hearing with an overview of its $5.1 billion budget and its state of public health report, highlighting record-low mortality and higher life expectancy, but also rising overdose deaths among ages 25-44, persistent maternal and infant mortality disparities, and the need for stable public health and emergency-response capacity; no votes were taken during the hearing.

Transcript Highlights:

• The author and the author's staff and sponsors have reached out to us, and we're very, very...
• An increasing share of this money is flowing into private equity.
• And the promise of private equity is to do better than the public markets.
• They turned into private equity because of the...
• Third is equity.

Keywords: 987, senate, all

Transcript Highlights:

• Nicholas Williams, San Francisco Parks and Recreation, San Francisco Sports Equity Coalition.
• This is such a great way to start the morning to talk about equity in sports.
• When we think about equity in our communities, I represent South Central L.A.
• When we think about equity in our communities, I represent South Central L.A.
• So for staff listening, I know other members are in other committees right now.

Summary: The committee heard AB 749, which would create a blue ribbon commission to study equitable access to youth sports and recommend a statewide framework, including coaching standards, PE modernization, and funding models to reduce barriers for families. The author and supporters, including youth sports advocates, educators, coaches, and former athletes, argued that sports improve health, school engagement, and long-term opportunity, while noting racial and income disparities in participation. One member raised concerns that a new commission could add cost and regulatory burdens, but the bill was framed as a study measure rather than immediate regulation. The committee also took up AB 549, aimed at coordinating state and local security planning for major upcoming sporting events such as the FIFA World Cup, Super Bowl, and Olympic and Paralympic Games. Supporters said the bill would improve interagency coordination, protect visitors and communities, and help prevent human trafficking and discrimination during mega-events. Members discussed the need to avoid over-policing and to center community values, but the bill advanced on a due pass recommendation to Appropriations. AB 1291 addressed ticket purchasing for concerts, sports, and other live events by requiring electronic proof of purchase and allowing it to be used for entry if a ticket cannot be accessed through no fault of the buyer. Supporters said the measure would give consumers more certainty and help address problems in a monopolized ticketing market, while opponents from venues, sports teams, and entertainment groups warned it could undermine anti-scalping tools, create security problems, and burden venues with duplicate or fraudulent proofs of purchase. The committee approved the bill on a due pass as amended basis to Privacy and Consumer Protection, with the roll held open for absent members. The consent calendar item, AB 644, was also approved.

Transcript Highlights:

• It keeps our equity interest, which is just ownership share in a company, right?
• Those insurers, it tends to concentrate in higher equity.
• Those insurers, it tend to concentrate in higher equity.
• It tends to concentrate in higher equities to get higher returns.
• Well, as I read it, it says to acquire equity interests in sovereign businesses.

Summary: The House Insurance Committee met on April 15 and first considered HB 909, which would require commercial health insurance coverage for behavioral health crisis services. Representative Spell and Office of Behavioral Health interim assistant secretary Dr. Holly Howitt described the Louisiana crisis response system, the goal of reducing emergency room and 911 use, and the need to expand provider participation beyond Medicaid. A technical amendment and a stakeholder-driven amendment allowing insurers to require documentation of crisis, medical necessity, and follow-up plan were adopted, and the bill was reported as amended with support cards from several health care and local government entities. The committee then advanced HB 1151, which changes investment limits for domestic insurers, especially life insurers, by capping equity holdings and aligning the rules with solvency concerns. After questions about whether the bill would increase profits at consumers’ expense, the author and Department of Insurance staff explained it was intended to provide guardrails and keep insurers solvent; the bill was reported favorably. HB 1154, dealing with prior authorization for certain generic medications, also received technical and substantive amendments. The bill would generally eliminate prior authorization for non-opioid generics, with a $250 wholesale acquisition cost cap and physician-specialty exceptions; it was reported as amended after support testimony from the Louisiana Dermatological Society and other health groups. HB 869, which sought coverage for injectable drugs used for glucose control or weight loss, prompted extended debate over cost, obesity, and long-term savings. Several members raised concerns about premium increases and the large fiscal note, while the author argued the bill was preventive and could save money over time. Representative Jordan proposed a 25% coverage amendment, but the committee declined to take up the substantive amendment that day, and the bill was voluntarily deferred to the next meeting. Later, the committee reported HB 1196 favorably, clarifying that screening colonoscopies remain screening even if polyps are found, and HB 1176 favorably, restoring Medicare Advantage coverage for certain integrative cancer care services. The committee also heard HB 771, which would have changed Medicare coordination rules for retirees who return to state employment, but staff explained the issue is governed by federal CMS rules and preemption concerns; the bill was voluntarily deferred so the author could review the governing law. HB 751, dealing with term life insurance disclosures, was likewise voluntarily deferred after the author said more work was needed and noted concerns about existing law and consumer understanding. At the end of the meeting, the committee also deferred HB 920 and HB 1199 to the following week and briefly stood at ease before moving on to other business.

Transcript Highlights:

• It keeps our equity interest, which is just ownership share in a company, right?
• Those insurers, it tend to concentrate in higher equity.
• Those insurers, it tend to concentrate in higher equity.
• It tends to concentrate in higher equities to get higher returns.
• Well, as I read it, it says to acquire equity interests in sovereign businesses.

Keywords: 965, house, all

Transcript Highlights:

• I'm Amy Skate, committee staff.
• For the record, David Monarchy, staff to the committee.
• I'm staff to the committee, so we don't have a fiscal note.
• I think I'd probably defer to staff on that.
• HB 2727 is equity-forward solutions.

Bills: HB2588, HB2722, HB2727

Keywords: county ferry district, ferry district, passenger-only ferry, passenger ferry, Puget Sound, Vashon, Seattle, Southworth, county transportation, local taxing authority, property tax levy, general obligation bonds, municipal corporation, public transportation benefit area, WTSC, Washington Utilities and Transportation Commission, ferry terminal, wharf, shuttle service, marine transportation

Transcript Highlights:

• My reasons are not personal to any commissioner, and they are not a criticism of the staff of the CPUC
• Thank you to the staff work at the CPUC.
• The CPUC's supplemental material will be available on our website, and were provided to member staff
• It has those observations and information about our work from staff and going to those sites.
• The mere presence of our staff being there Just kind of slowed down on this.

Keywords: 988, house, all

Transcript Highlights:

• I rise today to present SCR 164, which recognizes May 4th to May 8th as Black Health Equity Advocacy
• During Black Health Equity Advocacy Week... ...is still shaped by inequity.
• When we talk about equity, we're talking about fairness.
• Black Health Equity Advocacy Week is not just a moment of reflection. It is a call to action.
• The Jewish Caucus stands in strong solidarity recognizing Black Health Equity Advocacy Week.

Summary: The Senate opened with a prayer and Pledge of Allegiance, then spent much of the session on recognitions and resolutions honoring community groups and observances. Members welcomed the Far West region of Delta Sigma Theta Sorority, Inc. and the Los Angeles South Bay alumni chapter, and later recognized the 2026 Latino Spirit Award honorees after adopting SR 86 on Cinco de Mayo Week. Senators from multiple caucuses spoke in support of the resolution, emphasizing Mexican history, Latino resilience, and shared struggles for justice. The Latino Spirit honorees included leaders in higher education, philanthropy, labor, health, advocacy, business, environmental justice, journalism, culinary arts, and music, along with a legacy award for Los Tigres del Norte. The Senate also adopted SCR 146 declaring May Cystic Fibrosis Awareness Month, SCR 154 establishing Green Star Veterans and Families Day, SCR 123 honoring California Peace Officers Memorial Day, SCR 164 recognizing Black Health Equity Advocacy Week, and SCR 103 designating Tardive Dyskinesia Awareness Week. Testimony and floor remarks focused on health disparities, mental health, veteran suicide, and the sacrifices of peace officers, with several caucuses speaking in support of the health equity resolution. Each of these resolutions passed by unanimous or near-unanimous roll call votes. The chamber then took up several appointments from the Department of Corrections and Rehabilitation, confirming Kathleen Ratliff and Joseph Tuggle, Jason Johnson, Madeline McLean, Brian Bishop, and Sarah Larson, despite some protest votes from Senator Grove over the lack of action on another appointment. In third reading, the Senate passed SB 1159 on AI and public participation, SB 1416 on faster refunds for duplicate medical payments, SB 1273 on winery video advertising at instructional events, SB 941 limiting commissary markups in private detention facilities, SB 990 on a highway information sign near Ridgecrest, SB 1099 clarifying local authority to provide public benefits, and SB 1195 expanding tied-house exemptions for certain venues. The session concluded with adjournment memories for labor leader Kent Wong and Navy veteran-artist Vittaliano Victor Villar, and the Senate adjourned until May 7, 2026.

Transcript Highlights:

• Uh, also, we have Maki Ishihara and advocacy staff, including Lena Allay. Please welcome them.
• </c> Hawaiian Affairs, especially their staff Hawaiian Affairs, especially their staff who<00:01:27.840
• And then my staff, we had Dion with him. Okay. Welcome to your state capital.
• </c> with your indulgence my office staff with your indulgence my office staff because<00:03:20.959><
• </c> And then my staff, we had Dion with him. And then my staff, we had Dion with him.

Bills: SB2097, SB2317, SB2319, SB2177, SB2190, SB2424, SB2524, SB2627, SB3084, SB895, SB896, SB3102, SB3157, SB3215, SB2050, SB2090, SB2211, SB2572, SB2096, SB2025, SB2127, SB2046, SB2262, SB2354, SB2387, SB2487, SB2955, SB3234, SB2851, SB2573, SB2391, SB3282, SB3055, SB2189, SB2194, SB3152, SB2635, SB888, SB2203, SCR1, SCR2, SCR3, SCR4, SCR5, SCR6, SCR7, SCR8, SCR9, SCR10, SCR11, SCR12, SCR13, SCR14, SCR15, SCR16, SCR17, SCR18, SCR19, SCR20, SCR21, SCR22, SR3, SR5, SR6, SR7, SR8, SR9, SR10, SR11, SR12, SR13, SR14, SR15, SR16, SR17, SR18, SR19, SB2010, SB3118, SB3276

Keywords: sustainable agriculture, climate adaptation, food system resilience, grant program, Hawaii agriculture, agriculture, insurance, small producers, state support, biosecurity, farm coverage, public-private partnerships, agricultural policy, grant funding, food security, climate resiliency, housing development, zoning exemption, government assistance, affordable housing

Bills: SB2097, SB2317, SB2319, SB2177, SB2190, SB2424, SB2524, SB2627, SB3084, SB895, SB896, SB3102, SB3157, SB3215, SB2050, SB2090, SB2211, SB2572, SB2096, SB2025, SB2127, SB2046, SB2262, SB2354, SB2387, SB2487, SB2955, SB3234, SB2851, SB2573, SB2391, SB3282, SB3055, SB2189, SB2194, SB3152, SB2635, SB888, SB2203, SCR1, SCR2, SCR3, SCR4, SCR5, SCR6, SCR7, SCR8, SCR9, SCR10, SCR11, SCR12, SCR13, SCR14, SCR15, SCR16, SCR17, SCR18, SCR19, SCR20, SCR21, SCR22, SR3, SR5, SR6, SR7, SR8, SR9, SR10, SR11, SR12, SR13, SR14, SR15, SR16, SR17, SR18, SR19, SB2010, SB3118, SB3276

Keywords: sustainable agriculture, climate adaptation, food system resilience, grant program, Hawaii agriculture, agriculture, insurance, small producers, state support, biosecurity, farm coverage, public-private partnerships, agricultural policy, grant funding, food security, climate resiliency, housing development, zoning exemption, government assistance, affordable housing

Transcript Highlights:

• For context, about 55% of our faculty and classified staff identify as women.
• I worked on a bill in years past on the Cal Grant Equity framework that's gone and funded.
• We could have staff come up and make their presentation and then we'll move on to public comment.
• I’m sharing gratitude, Chair and committee and staff, for your work on these important issues.
• Chair and committee and staff, thank you for your work on these important issues.

Keywords: 987, senate, all

Transcript Highlights:

• The committee staff, policy analysts, legal staff, Sergeant Hosford and his staff—thank you. To Ms.
• That’s equity.
• That's a big staff. That's a big staff, but it's a big, busy committee.
• and his staff.
• Even the staff analysis in the Senate bill clearly defines the terms diversity, equity, inclusion.

Keywords: 998, house, all

Transcript Highlights:

• Equity cannot remain an aspiration.
• So, but, but, but, but... ...staff and our managers to try to plan what our staff is going to be doing
• , and on the Joint Staff.
• I have a person on my staff. I've been very fortunate in the staff. a special note here.
• I have a person on my staff.

Keywords: 995, all

Summary: The hearing was a FY27 budget session on Health and Human Services held in Mattapan, hosted by the Joint Committee on Ways and Means. Opening remarks from Senator Lydia Edwards, Representative Brandy Fluker-Reed, Representative Russell Holmes, and Boston Public Library President David Leonard emphasized the significance of holding the first Ways and Means hearing in Mattapan, the importance of community access, and the role of libraries as human services institutions. Committee members and attendees introduced themselves before agency testimony began. MassAbility testified first, describing its mission to support people with disabilities through employment, independent living, and disability determination services. The agency highlighted federal funding uncertainty, a modest FY27 budget reduction, and a proposed reworking of its home care program, which it said is outdated and should better target those most in need. Members questioned the home care cut, staffing reductions, and federal coordination. MassAbility also shared a participant story about recovery and community support to illustrate the impact of its services. The Massachusetts Commission for the Deaf and Hard of Hearing then presented its FY27 request, focusing on interpreter and captioning access, workforce development, emergency communication, aging-related hearing loss, and transition services for deaf and hard-of-hearing youth. Members asked about interpreter shortages, after-hours emergency coverage, ASL education, and community training; the commission said it is expanding mentorship and referral systems but still faces staffing and vendor challenges. The Massachusetts Commission for the Blind followed with a $30.8 million request, describing services for nearly 9,000 consumers, peer support groups, vocational rehabilitation, and Turning 22 services, while noting federal funding uncertainty and a 7% budget cut. Members raised concerns about maintaining services with fewer resources, and the commissioner said the agency had trimmed overhead and could manage the proposal. The Office for Refugees and Immigrants closed the segment, outlining expanded legal, housing, workforce, citizenship, and financial literacy supports for immigrants and refugees, including Know Your Rights trainings, legal defense initiatives, and the Massachusetts Access to Counsel Initiative. Members discussed the effects of federal policy changes, the loss of refugee resettlement funding, and the need for state support to fill gaps. No votes were taken in the portion provided; the hearing consisted of agency presentations and committee questioning.

Transcript Highlights:

• Equity cannot remain an aspiration.
• So, but, but, but, but... ...staff and our managers to try to plan what our staff is going to be doing
• This includes nurses, medical staff, social workers, food service professionals, facility staff, and
• , and on the Joint Staff.
• I have a person on my staff. I've been very fortunate in the staff.

Summary: The Joint Committee on Ways and Means held an FY27 Health and Human Services budget hearing in Mattapan, hosted at the Boston Public Library branch. Chairs Lydia Edwards and Russell Holmes, along with Rep. Brandy Fluker-Reid, emphasized the significance of holding the first Ways and Means hearing ever in Mattapan and highlighted the importance of bringing state budget deliberations into a majority-Black neighborhood. Several legislators introduced themselves as they joined, and the committee noted that public testimony was not part of the format, though agencies were invited to discuss priorities and challenges. MassAbility opened the agency testimony. Leadership described the agency’s mission to support people with disabilities through employment, training, home and community life services, and disability determination. They said Governor Healey’s FY27 budget funds MassAbility at $93.3 million, a 1% reduction from FY26, and explained that the agency is responding to federal funding uncertainty and shifting program needs by redesigning services internally. Members questioned a proposed $1.3 million reduction to the Home Care Program, staffing changes, and whether services could be maintained with fewer resources. MassAbility said it was reviewing data on who uses the program, that it does not provide nursing or personal care, and that it is working with a transition plan and a working group. The agency also discussed federal uncertainty around vocational rehabilitation funding and said it had received delayed federal awards but remained in contact with national associations and federal partners. The testimony included a personal story from a participant, Joshua Corcoran, to illustrate the impact of services. The Massachusetts Commission for the Deaf and Hard of Hearing testified next, requesting $11.27 million, about a 6% increase over FY26. The commission said it serves about 1.4 million residents and focuses on communication access in health care, courts, public safety, and other public systems. It highlighted interpreter and captioner workforce shortages, a mentorship program to expand the provider pool, and a modernized referral platform funded through capital contingency money. Members asked about interpreter availability, after-hours emergency coverage, ASL access for students and families, and training for police and emergency responders. The commission said staffing remains limited, especially for after-hours services, but that it is expanding training, school outreach, and partnerships with DCF and other agencies. The Massachusetts Commission for the Blind then presented its FY27 budget request of $30.8 million. The commissioner said the agency serves nearly 9,000 legally blind residents, provides training and peer support, and placed 190 consumers in competitive integrated employment this year. It also described services for older adults, vocational rehabilitation, and the Turning 22 program for young adults with additional disabilities. Members raised concerns about a 7% cut from the prior year and asked how the agency could maintain services; the commissioner said the agency had no waiting list, had trimmed overhead, and could manage the budget through internal efficiencies and strong partnerships. The Office for Refugees and Immigrants closed the session, describing expanded legal and support services for immigrants and refugees, including Know Your Rights trainings, the Massachusetts Access to Counsel Initiative, citizenship and financial literacy programs, and the Family Welcome Center in Mattapan. Members asked about federal funding losses and the structure of the new legal services program; ORI said FY26 funding is stable but FY27 federal cuts remain uncertain, and that the legal program uses a centralized intake system with priority for emergencies and first-come, first-served access.

Transcript Highlights:

• I would love to actually ask our staff.
• I feel like our committee Our committee staff, our legislative council staff, have some ideas on how
• With staff.
• equity is making a bid for P&M.
• They are funded through private equity.